Περίληψη:
Background. All cases of obstetric hysterectomies that were performed in
our hospital during a seven-year study period were reviewed in order to
evaluate the incidence, indications, risk factors, and complications
associated with emergency obstetric hysterectomy. Methods. Medical
records of 45 patients who had undergone emergency hysterectomy were
scrutinized and evaluated retrospectively. Maternal age, parity,
gestational age, indication for hysterectomy, the type of operation
performed, estimated blood loss, amount of blood transfused,
complications, and hospitalization period were noted and evaluated. The
main outcome measures were the factors associated with obstetric
hysterectomy as well as the indications for the procedure. Results.
During the study period there were 32,338 deliveries and 9,601 of them
(29.7%) were by cesarean section. In this period, 45 emergency
hysterectomies were performed, with an incidence of 1 in 2,526 vaginal
deliveries and 1 in 267 cesarean sections. All of them were due to
massive postpartum hemorrhage. The most common underlying pathologies
was placenta accreta (51.1%) and placenta previa (26.7%). There was no
maternal mortality. Conclusions. Obstetric hysterectomy is a necessary
life-saving procedure. Abnormal placentation is the leading cause of
emergency hysterectomy when obstetric practice is characterized by a
high cesarean section rate. Therefore, every attempt should be made to
reduce the cesarean section rate by performing this procedure only for
valid clinical indications.
Συγγραφείς:
Daskalakis, George
Anastasakis, Eleftherios
Papantoniou,
Nikolaos
Mesogitis, Spyros
Theodora, Mariana
Antsaklis, Aris
